Miralizadeh Aysan, Peyman Akram, Jamali Soltani Neda, Ashktorab Tahereh
Department of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Complement Med Res. 2022;29(2):100-108. doi: 10.1159/000517982. Epub 2021 Oct 29.
Respiratory distress is one of the life-threatening conditions in preterm infants. Sensory deprivation in preterm infants hospitalized in the intensive care units affects their physiological and psychological development. Therefore, this study is an attempt to compare the effects of foot and palm reflexology on respiratory distress in infants subjected to noninvasive ventilation.
In this clinical study, 150 infants hospitalized at Fatemieh Hospital in Hamadan were randomly assigned to 3 groups. In the intervention groups, the reflexology massage to foot and palm was performed for 10 min within 3 days in 6 rounds. In the control group, leg warming was performed. In each group, the personal information checklist, the respiratory distress score, oxygen saturation percentage, and respiratory rate before and after the daily intervention were examined. Data analysis was performed using the standard statistical tests in SPSS.
The results mirrored the statistically significant difference between the intervention and control groups 3 days into the intervention with regard to the average oxygen saturation percentage, respiratory rate, and the respiratory distress score (p < 0.05). When eliminating the effect of confounding variables, therapeutic intervention applied to palm compared to foot had a greater effect on reducing respiratory distress score in the studied infants.
The reflexology massage method, especially palm reflexology massage, contributes to the mitigation of respiratory distress in preterm infants subjected to noninvasive ventilation. Hence, this low-cost and efficient intervention program can be recommended as a complementary method for preterm infants with respiratory distress.
呼吸窘迫是早产儿危及生命的状况之一。入住重症监护病房的早产儿所经历的感觉剥夺会影响其生理和心理发育。因此，本研究旨在比较足部和手部反射疗法对接受无创通气的婴儿呼吸窘迫的影响。
在这项临床研究中，随机将哈马丹法特米耶医院收治的150名婴儿分为3组。在干预组中，在3天内分6轮对手部和足部进行10分钟的反射疗法按摩。在对照组中，进行腿部保暖。对每组婴儿在每日干预前后检查个人信息清单、呼吸窘迫评分、血氧饱和度百分比和呼吸频率。使用SPSS中的标准统计测试进行数据分析。
干预3天后，干预组和对照组在平均血氧饱和度百分比、呼吸频率和呼吸窘迫评分方面存在统计学显著差异（p < 0.05）。在消除混杂变量的影响后，与足部相比，手部的治疗干预对降低所研究婴儿的呼吸窘迫评分有更大效果。
反射疗法按摩方法，尤其是手部反射疗法按摩，有助于减轻接受无创通气的早产儿的呼吸窘迫。因此，这种低成本且有效的干预方案可作为呼吸窘迫早产儿的一种辅助方法推荐。
